REHACOM

Computer-assisted cognitive rehabilitation device that assists the physician in the treatment of cognitive disorders.

The system supports recovery and replacement processes, exercising certain compensation strategies and offering targeted therapeutic solutions for hospitals and medical practices. Various procedures for the recovery of cognitive functions are provided, such as:

Training for attention (attention and concentration, divided attention, two-dimensional operations, three-dimensional operations, etc.).
Training for memory (figurative memory, photographic memory, etc.).
Training for executive activities (shopping, planning a day out of the home).

In particular in the recovery of cognitive functions related to attention, concentration and two- and three-dimensional operations the patient is asked to compare a series of figures and identify the image that corresponds exactly to the required target.

In the recovery of cognitive functions linked to memory, the patient is asked to memorise the terms that designate an object and after completing the learning phase must be able to select them each time they appear correctly while scrolling on the screen from left to right.

For the recovery of cognitive functions related to executive activities, the patient is asked, having a list of extra-domestic activities, to carry them out by consulting the city map with various buildings and streets in order to reach one place after another according to the schedule, and to mark it in his activity diary. In detail, three different types of requests are developed: prioritising, minimising route times and maximising the number of activities performed.

ERICA

Exercise-based software aimed at the neuropsychological rehabilitation of patients with cognitive deficits resulting from brain injury, developmental disorders, degenerative diseases and psychiatric disorders.

The rehabilitator is supported in setting up the various exercises through an intuitive interface with which all exercise parameters can be customised (type of stimuli, exposure time, duration of task, number of attempts).

The rehabilitator can manage the patient’s rehabilitation file from the management of master data and clinical observations, to the definition of the treatment plan, up to the historicisation of all the work done with patients. During the rehabilitation session, all parameters related to the administration of the exercises are tracked and made available for the rehabilitator’s analysis within the medical record, in the form of detailed reports that can be archived, printed or exported.

An important difference with the Rehacom device is the possibility of customising the rehabilitation exercises in all possible variants of the number and extent of target and destructive stimuli as well as their respective onset and disappearance times to facilitate or increase the level of difficulty of each exercise. Furthermore, of the various cognitive functions that are exercised, specific functional areas can be rehabilitated, such as the following procedures with their corresponding specific sub-procedures:

Training for attention (focused attention, selective attention, alternating attention, divided attention, sustained attention).
Training for memory (short-term memory, long-term memory, verbal memory, visuospatial memory, working memory, procedural memory, semantic and episodic declarative memory, autobiographical memory, prospective memory, retrograde and anterograde memory).
Training for spatial cognition (with particular regard to unilateral spatial negligence deficit or neglect).
Training for executive activities (non-verbal executive functions, verbal executive functions).

NIRVANA

Device made by BTS based on immersion technology in a virtual environment for the rehabilitation of patients suffering from neuromotor pathologies.

The system, connected to a video projector or a big screen, reproduces a series of interactive exercises and, thanks to an infrared camera that analyses the patient’s movements, creates interactivity. At the end of each session, it is possible to export for each patient the complete list of all exercises performed with the scores obtained.

The physiotherapist can assess the patient’s progress and modify the rehabilitation programme by increasing or reducing its level of difficulty. The activity can also be recorded by a webcam in order to review the work performed and thus keep visual records of the patient’s progress. There is a wide range of exercises that can be classified according to 5 types of rehabilitation purposes.

In particular, the ‘sprites’ type of exercise allows the upper limbs to explore a single hemispace or both sides with the upper limbs, and this mode of use lends itself well to recovery activities in pathologies such as unilateral spatial neglect. The ‘follows me’ type of exercise lends itself well to upper or lower limb training for movement coordination. The ‘hunts’ type of exercise aims to reach elements that appear randomly and for a limited time on the projection surface, so it lends itself well in the recovery of attention combined with movement coordination.

The ‘motion’ type of exercises consists of covering the largest spatial area or trying to control movements within fixed positions to improve limb and trunk control. The ‘games’ type of exercises allows the interaction of several patients at the same time who can exercise by exchanging in space a virtual ball projected on the wall. The projection modes of these 5 types of exercises can be selected according to the rehabilitation purpose and are two: wall projection and floor projection.

VRRS (Virtual Reality Rehabilitation System)

Medical device made by Khymeia from internationally patented Class I certificate and based on a virtual reality system for rehabilitation and telerehabilitation.

Extreme user-friendliness, high customisation capacity, complete automatic reporting, and a telerialisation function are some of the guiding principles of the system’s continuous development.

VRRS, in fact, is conceived as a “central HUB” to which a series of specialised peripheral devices can be connected via USB, fully synchronised and integrated with the system.

VRRS, with its exclusive magnetic kinematic acquisition system, is used as a clinical routine for the rehabilitation of a broad spectrum of pathologies through its numerous rehabilitation modules containing a vast library of clinically validated exercises for neurological (motor, cognitive, speech, posturographic, hand, finger and wrist, cervical head, immersive virtual reality, occupational therapy, muscle synergies) and orthopaedic (ankle, knee, pelvis, hip, hand, finger, wrist, elbow, shoulder, back, cervical head) recovery.